Abstract：Objective: To explore the factor of anxiety and depression in hospitalized elderly hypertension patients combined with lacunar cerebral infarction. Methods: The Hamilton Anxiety Scale (HAMA-14 items) and Hamilton Depression Scale (HAMD-24 items) were used to assess the anxiety and depression status of 162 elderly patients with hypertension and lacunar infarction in Geriatrics Department of Chengde Central Hospital, and to analyze the influencing factors of anxiety and depression. Multivariate logistic regression was used to analyze the related risk factors. Results: The anxiety group and the depression group were compared with the control group, gender, smoking,and carotid plaque were statistically difference (P<0.05); diabetes, hyperlipidemia, hypoalbuminemia, frailty, and sleep quality were no statistical difference (P>0.05).The risk factors of anxiety included living hyperlipidemia (OR=2.799; 95% CI:1.180~6.638), hypoproteinemia (OR=11.271; 95% CI:1.269~10.084), frailty (OR=2.675; 95% CI:1.232~5.809), sleep disorder (OR=3.364; 95% CI:1.559~7.256). The risk factors of depression included living hyperlipidemia (OR=4.610; 95% CI:1.505~14.123), hypoproteinemia (OR=5.889; 95% CI:1.863~18.614), frailty (OR=4.024; 95% CI:1.674~9.672), sleep disorder (OR=17.405; 95% CI:6.847~44.243). Conclusions: Diabetes mellitus, hyperlipidemia, hypoproteinemia, weakness, sleep disorders in elderly hypertensive patients with lacunar infarction are more likely to develop anxiety and depression.
王静, 孙彦豹, 刘艳成, 金明磊, 杨阳, 马晓英. 老年高血压合并腔隙性脑梗死患者发生焦虑抑郁的因素分析[J]. 河北医学, 2019, 25(7): 1177-1182.
WANG Jing, SUN Yanbao, LIU Yancheng, et al. Analysis of Anxiety and Depression in Elderly Patients with Hypertension Complicated with Lacunar Infarction. HeBei Med, 2019, 25(7): 1177-1182.
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2019, Vol. 25 
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